A 57-year-old male patient with a history of ischemic cardiomyopathy with moderate systolic dysfunction (LVEF of 45%), remote inferior myocardial infarction, severe coronary vessel disease (chronic total occlusion of the circumflex coronary artery, severe stenosis of the left anterior descending coronary artery, severe stenosis of the right coronary artery treated with PCI, and stent implantation in the LAD and RCA), and paroxysmal atrial fibrillation is admitted to the Cardiology Department for an episode of palpitations accompanied by dyspnea and anxiety that had occurred several minutes prior to his presentation to the hospital. His ECG recorded in the Cardiology Department is presented in Fig. 1.

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ECG 24

  • Stefan-Lucian Popa

摘要

A 57-year-old male patient with a history of ischemic cardiomyopathy with moderate systolic dysfunction (LVEF of 45%), remote inferior myocardial infarction, severe coronary vessel disease (chronic total occlusion of the circumflex coronary artery, severe stenosis of the left anterior descending coronary artery, severe stenosis of the right coronary artery treated with PCI, and stent implantation in the LAD and RCA), and paroxysmal atrial fibrillation is admitted to the Cardiology Department for an episode of palpitations accompanied by dyspnea and anxiety that had occurred several minutes prior to his presentation to the hospital. His ECG recorded in the Cardiology Department is presented in Fig. 1.